000000429 001__ 429
000000429 005__ 20260410124447.0
000000429 0247_ $$2DOI$$a10.6083/M4F18WPZ
000000429 037__ $$aETD
000000429 245__ $$aThe effect of summer break length and structured summertime activities on overweight status of children
000000429 260__ $$bOregon Health and Science University
000000429 269__ $$a2008
000000429 336__ $$aThesis
000000429 502__ $$bM.P.H.
000000429 520__ $$aThis study examined the impact of Oregon’s 2003 Medicaid policy changes—which resulted in large-scale disenrollment from the Oregon Health Plan (OHP)—on emergency department (ED) use for chronic illnesses. Using ED claims from 22 hospitals (March 2001–February 2005), we compared the proportion of chronic ambulatory care–sensitive visits before and after the policy changes across payer groups. Uninsured patients were significantly more likely to present with chronic conditions after the cutbacks (OR = 1.10), a pattern not seen in commercial or OHP groups. A similar trend appeared among uninsured patients with behavioral health diagnoses. These findings suggest that Medicaid cutbacks were followed by increased preventable ED use among uninsured individuals, underscoring the need to re-evaluate cost‑effective strategies for managing chronic illness care.
000000429 540__ $$fCC BY
000000429 542__ $$fIn copyright - single owner
000000429 650__ $$aHolidays$$020272
000000429 650__ $$aObesity$$023118
000000429 650__ $$aChild$$016462
000000429 691__ $$aSchool of Medicine$$041369
000000429 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000429 7001_ $$aLaing, Robert, III$$uOregon Health and Science University$$041354
000000429 7201_ $$aHorner-Johnson, Willi$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000000429 8564_ $$9881bd731-bf39-4ac5-87d4-0e824e885576$$s246989$$uhttps://digitalcollections.ohsu.edu/record/429/files/430_etd.pdf$$ePublic$$2e8694b60809c4ed21332cfa202e4f910$$31
000000429 901__ $$a&lt;p&gt;These documents are archival records. They are retained for historical reference only. &lt;/p&gt;&lt;p&gt;&lt;b&gt;Need an accessible version? Use the ‘Get Accessible Copy’ link above.&lt;/b&gt;&lt;/p&gt;
000000429 905__ $$a/rest/prod/2n/49/t1/70/2n49t1702
000000429 909CO $$ooai:digitalcollections.ohsu.edu:429$$pstudent-work
000000429 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000429 980__ $$aTheses and Dissertations